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Neuropeptide Y autoantibodies in patients with long-term type 1 and type 2 diabetes and neuropathy.

Skärstrand, Hanna LU ; Dahlin, L B ; Lernmark, Åke LU orcid and Vaziri Sani, Fariba LU (2013) In Journal of Diabetes and its Complications 27(6). p.609-617
Abstract
Aims: The neurotransmitter Neuropeptide Y (NPY) was previously reported as a minor autoantigen in newly diagnosed type 1 diabetes (T1D) patients. The single nucleotide polymorphism at rs16139 (T1128C, L7P) in the NPY gene was associated with an increased risk for the development of type 2 diabetes (T2D). We aimed to develop a radiobinding assay for NPY-L (Leucine) and NPY-P (Proline) autoantibodies (A) to study the levels and the association with other islet autoantibodies and neuropathy. Methods: Autoantibodies against NPY-L, NPY-P, ZnT8, GAD65 and IA-2 were studied in T1D (n=48) and T2D (n=26) patients with duration up to 42 and 31years. A subgroup of T1D (n=32) patients re-examined, 5-8years after first visit, was tested for peripheral... (More)
Aims: The neurotransmitter Neuropeptide Y (NPY) was previously reported as a minor autoantigen in newly diagnosed type 1 diabetes (T1D) patients. The single nucleotide polymorphism at rs16139 (T1128C, L7P) in the NPY gene was associated with an increased risk for the development of type 2 diabetes (T2D). We aimed to develop a radiobinding assay for NPY-L (Leucine) and NPY-P (Proline) autoantibodies (A) to study the levels and the association with other islet autoantibodies and neuropathy. Methods: Autoantibodies against NPY-L, NPY-P, ZnT8, GAD65 and IA-2 were studied in T1D (n=48) and T2D (n=26) patients with duration up to 42 and 31years. A subgroup of T1D (n=32) patients re-examined, 5-8years after first visit, was tested for peripheral (Z-score) and autonomic neuropathy (E/I ratio). Results: NPY-LA and NPY-PA were detected in 23% and 19% in T1D (p<0.001), and 12% and 23% in T2D patients (p<0.001) compared to 2.5% controls (n=398). The levels of NPYA declined during follow-up in the T1D patients (p<0.001). The neuropathy was not related to the NPYA or the other islet autoantibodies. Conclusions: Regardless of the absence of an association between NPYA and neuropathy, NPY may contribute to the pathogenesis of T1D and T2D as a minor autoantigen. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Diabetes and its Complications
volume
27
issue
6
pages
609 - 617
publisher
Elsevier
external identifiers
  • wos:000327414600014
  • pmid:23910631
  • scopus:84887058054
ISSN
1873-460X
DOI
10.1016/j.jdiacomp.2013.06.007
language
English
LU publication?
yes
id
c35df53d-dfc3-4513-ac34-023aa4b61635 (old id 4006227)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23910631?dopt=Abstract
date added to LUP
2016-04-01 10:11:01
date last changed
2022-03-22 13:04:27
@article{c35df53d-dfc3-4513-ac34-023aa4b61635,
  abstract     = {{Aims: The neurotransmitter Neuropeptide Y (NPY) was previously reported as a minor autoantigen in newly diagnosed type 1 diabetes (T1D) patients. The single nucleotide polymorphism at rs16139 (T1128C, L7P) in the NPY gene was associated with an increased risk for the development of type 2 diabetes (T2D). We aimed to develop a radiobinding assay for NPY-L (Leucine) and NPY-P (Proline) autoantibodies (A) to study the levels and the association with other islet autoantibodies and neuropathy. Methods: Autoantibodies against NPY-L, NPY-P, ZnT8, GAD65 and IA-2 were studied in T1D (n=48) and T2D (n=26) patients with duration up to 42 and 31years. A subgroup of T1D (n=32) patients re-examined, 5-8years after first visit, was tested for peripheral (Z-score) and autonomic neuropathy (E/I ratio). Results: NPY-LA and NPY-PA were detected in 23% and 19% in T1D (p&lt;0.001), and 12% and 23% in T2D patients (p&lt;0.001) compared to 2.5% controls (n=398). The levels of NPYA declined during follow-up in the T1D patients (p&lt;0.001). The neuropathy was not related to the NPYA or the other islet autoantibodies. Conclusions: Regardless of the absence of an association between NPYA and neuropathy, NPY may contribute to the pathogenesis of T1D and T2D as a minor autoantigen.}},
  author       = {{Skärstrand, Hanna and Dahlin, L B and Lernmark, Åke and Vaziri Sani, Fariba}},
  issn         = {{1873-460X}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{609--617}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Diabetes and its Complications}},
  title        = {{Neuropeptide Y autoantibodies in patients with long-term type 1 and type 2 diabetes and neuropathy.}},
  url          = {{https://lup.lub.lu.se/search/files/1632880/4436185.pdf}},
  doi          = {{10.1016/j.jdiacomp.2013.06.007}},
  volume       = {{27}},
  year         = {{2013}},
}